1
40
3
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Text
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<a href="http://doi.org/" target="_blank" rel="noreferrer noopener">http://doi.org/</a>
Pages
1-4
Volume
12
ISSN
22295097
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April 2021 List
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Dublin Core
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Title
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An extremely rare presentation of av fistula: Massive destruction of multiple vertebral bodies with paraparesis.
Publisher
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Surgical Neurology International
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
2021-03-30
Subject
The topic of the resource
SYMPTOMS; ARTERIOVENOUS fistula; AV fistula; EPIDURAL abscess; EPIDURAL space; Extradural arteriovenous fistula; FISTULA; Paraparesis; PARAPARESIS; Rare; SPINAL tuberculosis; Vertebral body
Creator
An entity primarily responsible for making the resource
Bansal K; Kalidindi KKV; Gupta A; Surapaneni VN; Kapur R; Chhabra HS
Description
An account of the resource
Background: Spinal ventral epidural arteriovenous fistulas (EDAVFs) are rare and underdiagnosed entities and usually present with benign symptoms such as radiculopathy. To the best of our knowledge, EDAVFs presenting with massive vertebral body destruction have not been reported in the literature. Case Description: A young male presented with mid back pain for 1 year and weakness of both lower limbs for 3 months. He was clinicoradiologically diagnosed with spinal tuberculosis and started on antitubercular treatment elsewhere. Radiological investigations suggested destruction and collapse of T12 and L1 vertebrae. Prominent flow voids were seen in T9-L2 epidural space, likely prominent epidural vessels. The primary differential diagnoses were spinal tuberculosis and neoplastic etiologies. T9 to L3 surgical stabilization and anterior decompression by pediculectomy of left T12 and L was done. The surgeon encountered massive bleeding at the time of anterior decompression and a vascular etiology was suspected. Biopsy revealed negative results for infection or malignancy. DSA revealed ventral EDAVFs, and hence, transcatheter embolization was performed. He had excellent outcome on assessment at 21 months postoperative follow-up. Conclusion: Spinal epidural AVFs can rarely present with gross vertebral body destruction and paraparesis. Preoperative radiological assessment with suspicion of spinal epidural AVFs can help to avoid intraoperative difficulties and complications. Timely, management of spinal epidural AVFs can result in excellent outcomes. [ABSTRACT FROM AUTHOR]
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<a href="http://doi.org/" target="_blank" rel="noreferrer noopener"></a>
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journalArticle
2021
April 2021 List
ARTERIOVENOUS fistula
AV fistula
Bansal K
Chhabra HS
epidural abscess
EPIDURAL space
Extradural arteriovenous fistula
Fistula
Gupta A
journalArticle
Kalidindi KKV
Kapur R
NEOMED College of Medicine Student
NEOMED Student Publications
Paraparesis
rare
SPINAL tuberculosis
Surapaneni VN
Surgical Neurology International
Symptoms
Vertebral body
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.7863/jum.2006.25.2.245" target="_blank" rel="noreferrer noopener">http://doi.org/10.7863/jum.2006.25.2.245</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
245-249
Issue
2
Volume
25
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Title
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Prenatal diagnosis of ventriculocoronary arterial communication in fetuses with hypoplastic left heart syndrome
Publisher
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Journal of Ultrasound in Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2006
2006-02
Subject
The topic of the resource
Acoustics; arterial communication; fistula; hypoplastic left heart syndrome; Nuclear Medicine & Medical Imaging; prenatal diagnosis; Radiology; ventriculocoronary
Creator
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Patel C R; Lane Jr; Spector M L; Smith P C; Waight D J
Description
An account of the resource
Objective. The purpose of this series was to describe the fetal echocardiographic findings in hypoplastic left heart syndrome with aortic atresia and ventriculocoronary arterial communication and implications of these findings. Methods. We describe 2 fetuses with hypoplastic left heart syndrome with ventriculocoronary arterial communication diagnosed at 29 and 20 weeks' gestation, respectively. The underlying cardiac anatomy consisted of a hypoplastic left heart and mitral stenosis with aortic atresia. We used color Doppler and pulsed Doppler sonography on the surface of the myocardiurn to specifically look for coronary arterial flow. Results. By color Doppler sonography, ventriculocoronary arterial communication was shown between the left ventricular cavity and the left coronary artery with characteristic bidirectional flow on pulsed Doppler examination. There was no mitral regurgitation. The left ventricular myocardium was substantially hypertrophied. The first patient underwent surgical Norwood palliation and died after a prolonged postoperative course. The second patient underwent stenting of the arterial duct and bilateral pulmonary artery banding in the catheterization laboratory but died after a few weeks. implications of ventriculocoronary arterial communication in association with hypoplastic left heart syndrome are discussed. Conclusions. It is possible to accurately diagnose ventriculocoronary arterial communication on fetal echocardiography. The presence of ventriculocoronary arterial communication is seen exclusively in a subgroup of patients with an aortic atresia and mitral stenosis variant of hypoplastic left heart syndrome. The prognosis is poor in this subgroup of patients.
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<a href="http://doi.org/10.7863/jum.2006.25.2.245" target="_blank" rel="noreferrer noopener">10.7863/jum.2006.25.2.245</a>
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The file format, physical medium, or dimensions of the resource
Journal Article
2006
Acoustics
arterial communication
Fistula
hypoplastic left heart syndrome
Journal Article
Journal of Ultrasound in Medicine
Lane Jr
Nuclear Medicine & Medical Imaging
Patel C R
Prenatal Diagnosis
Radiology
Smith P C
Spector M L
ventriculocoronary
Waight D J
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1177/0885066617730571" target="_blank" rel="noreferrer noopener">http://doi.org/10.1177/0885066617730571</a>
Pages
394–406
Issue
7
Volume
33
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Title
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Complications and Perioperative Management of Patients Undergoing Thoracic Endovascular Aortic Repair.
Publisher
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Journal of intensive care medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2018
2018-07
Subject
The topic of the resource
*Endovascular Procedures; *Postoperative Complications/diagnostic imaging/physiopathology/surgery; Aorta; Aortic Aneurysm; aortic syndrome; Blood Vessel Prosthesis Implantation; complications; Coronary Angiography; Embolism; endograft; endovascular; Endovascular Procedures; Equipment Failure/*statistics & numerical data; Fistula; Humans; Ischemia; Kidney – Injuries; medical management; Mesenteric Ischemia; Perioperative Care; Postoperative Complications – Therapy; Practice Guidelines as Topic; Retrospective Studies; Spinal Cord – Pathology; Spinal Cord Ischemia/diagnostic imaging/*etiology; stent graft; Stents; Stroke; Thoracic – Surgery; thoracic aorta; Thoracic/physiopathology/*surgery; Treatment Outcome
Creator
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Sattah Anna P; Secrist Michael H; Sarin Shawn
Description
An account of the resource
Endovascular treatments have become increasingly common for patients with a variety of thoracic aortic pathologies. Although considered less invasive than traditional open surgical approaches, they are nonetheless complex procedures. Patients undergo manipulation of an often calcified aorta near the origin of the carotid and subclavian vessels and have stents placed in a curved vessel adjacent to a perpetually beating heart. These stents can obstruct blood flow to the spinal cord, induce an inflammatory response, and in rare cases erode into the adjacent trachea or esophagus. Renal complications range from contrast-induced nephropathy to hypotension and ischemia to dissection. Emboli can lead to strokes and mesenteric ischemia. These patients have complex medical histories, and skilled perioperative management is critical to achieving the best clinical outcomes. Here, we review the medical management of the most common complications in these patients including stroke, spinal cord ischemia, renal injury, retrograde dissections, aortoesophageal and aortobronchial fistulas, postimplantation syndrome, mesenteric ischemia, and endograft failure.
Identifier
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<a href="http://doi.org/10.1177/0885066617730571" target="_blank" rel="noreferrer noopener">10.1177/0885066617730571</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Endovascular Procedures
*Postoperative Complications/diagnostic imaging/physiopathology/surgery
2018
Aorta
Aortic Aneurysm
aortic syndrome
Blood Vessel Prosthesis Implantation
complications
Coronary Angiography
Embolism
endograft
endovascular
Endovascular Procedures
Equipment Failure/*statistics & numerical data
Fistula
Humans
ischemia
Journal of intensive care medicine
Kidney – Injuries
medical management
Mesenteric Ischemia
Perioperative Care
Postoperative Complications – Therapy
Practice Guidelines as Topic
Retrospective Studies
Sarin Shawn
Sattah Anna P
Secrist Michael H
Spinal Cord – Pathology
Spinal Cord Ischemia/diagnostic imaging/*etiology
stent graft
Stents
stroke
Thoracic – Surgery
thoracic aorta
Thoracic/physiopathology/*surgery
Treatment Outcome